IHHC Nursing : Taking Post-Operative Care To The Next Level
Post operative care refers to the care which the patient receives immediately following a surgical procedure. This may include: 1)Pain Management and 2) Wound care. The type of postoperative care a patient requires depends on the type of surgery patient have underwent. Post operative phase of surgery is the third and final phase of surgical experience. Nursing plays a critical role in returning the client to an optimal level of functioning in this stage. The post operative period can be divided into 2 phases. First phase is the immediate post operative anesthesia and few hours after surgery when the client is recovering from the effects of anesthesia. Second phase or later post operative phase is a time for healing and preventing complications. This period may last for weeks, months or even years after surgery.
Post Operative Care – Definition.
Post operative care begins immediately after surgery, for the duration of patient hospital stay, and may continue after patient discharge from the hospital. Part of postoperative care is awareness of the potential side effects and complications of procedure or surgery.
Importance of Nurses in post operative care:
The nursing process begins with holistic assessment of the patient’s physical & psychological health. The nurse interprets these cumulative data to identify diagnosis & expected outcomes.
The Immediate Nurses assessment includes: 1) Assess airway patency and support. 2) Applies humidified oxygen. 3) Record vital signs. 4) Assess the level of consciousness (GCS-Glassgow Coma Scale). 5) Observe IV infusion, dressings, drainage etc.
Implications for post operative nursing care at Home:
Interventions are planned and implemented according to the patient’s developmental and cultural needs to help the patient achieve defined outcomes. Collaboration is essential to ensure quality care. The Home care nurse works together with the patient, family, and other health care providers to coordinate and implement the patient’s plan of care.
IHHC’s Post operative goal:
Our plan will include an assessment of the client’s needs and goals as well as nursing interventions. Nursing diagnosis is used to specify and define post operative problems and guide the plan of nursing care.
Primary goal is to prevent post operative complications and assist the patient in achieving an optimal level of wellness and functioning. Such as:
Goal1. Restore Hemostasis and prevent complications.
Goal2. Maintain and promote adequate airway and respiratory function.
Goal3. Maintain adequate cardiac function and promote tissue perfusion.
Goal4. Maintain adequate fluid and electrolyte balance and adequate renal function.
Goal5. Promote comfort and rest.
Goal6. Promote adequate nutrition and elimination.
Goal7. Promote wound healing.
Goal8. Promote and maintain activity and mobility.
Goal9. Provide adequate emotional support.
Management of Post operative patient at home:
Nurses play a vital role in caring got patients in post operative phase. Especially Home care nurses play a critical role in preventing complications and promoting early recovery at their doorsteps such as:
- Respiratory management,
- Pain management,
- Fluid management,
- Management of Gastro Intestinal function,
- Surgical wound care,
- Infection control – Prevention of sepsis,
- Drug management,
- Risk management such as fall, injury.etc.
- Prevention of Complications such as
Infection, Problems at the surgical site, blood clots, prolonged inactivity can cause a loss of muscle strength and bedsore/pressure sore.
Tips for Post Operative Patients
It is very important that you follow your doctor’s instructions after you leave the hospital. Take medications as prescribed and keep your aftercare appointments. In some cases, you may not be able to care for yourself for a time after surgery. If so, you will need a caregiver to tend to wounds, prepare food, or help you move around safely. If you don’t have a family member or friend who can help, ask your doctor to recommend a care giving service. While recuperating, be sure to notify your health care provider if you develop a fever, increased pain, or bleeding at the surgical site. Don’t hesitate to contact your doctor if you have questions or aren’t recovering as well as expected.